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一只幼犬起源于骨骼肌的胚胎性横纹肌肉瘤的血行转移

Hematogenous metastasis of embryonal rhabdomyosarcoma originating from skeletal muscle in a young dog.

作者信息

Yhee Ji-Young, Kim Dae-Hyun, Hwang Du-Na, Moon Chang-Taek, Yu Chi-Ho, Kim Hwi-Yool, Doster Alan R, Sur Jung-Hyang

机构信息

Department of Veterinary Pathobiology, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University, no. 1 Hwayang-dong, Kwangjin-ku, Seoul 143-701, Korea.

出版信息

J Vet Diagn Invest. 2008 Mar;20(2):243-6. doi: 10.1177/104063870802000219.

DOI:10.1177/104063870802000219
PMID:18319443
Abstract

An 8-month-old, intact male Golden Retriever with a history of left forelimb lameness for 2 months was presented to the Veterinary Medical Teaching Hospital of Konkuk University (Seoul, Korea). Results of a physical examination revealed a mass in the left axillary region. A thoracic radiography showed an osteolytic lesion in the scapula and the presence of a soft tissue density from the thoracic wall to the scapula. A computerized tomography revealed a mass invading into the scapula, and small nodules in the lung that suggested metastasis. At necropsy, a pale-yellow, irregular, firm, 8 x 10 x 5 cm mass extended from axillary region and destroyed the scapular. In addition, small nodules were noted in the lung. On microscopic examination, the mass consisted of round-to-oval cells, with eccentrically located hyperchromatic nuclei and eosinophilic cytoplasm in fibromyxoid stroma. Tumor cells were observed in blood vessels in the primary mass. Tumor cells strongly expressed vimentin, desmin, and myoglobin. In phosphotungstic acid-hematoxylin staining, cross-striations were detected in rhabdomyoblasts. In periodic acid-Schiff reaction, only a few cells were detected. The diagnosis was primary rhabdomyosarcoma of the appendicular muscle of a young dog. The tumor presumably originated in the skeletal muscle of the limb, invaded into the adjacent scapular bone, and metastasized to the lung.

摘要

一只8个月大、未绝育的雄性金毛猎犬,有2个月左前肢跛行史,被送至建国大学兽医学院教学医院(韩国首尔)。体格检查结果显示左腋窝区域有一个肿块。胸部X光片显示肩胛骨有溶骨性病变,从胸壁到肩胛骨有软组织密度影。计算机断层扫描显示一个肿块侵入肩胛骨,肺部有小结节提示转移。尸检时,一个淡黄色、不规则、质地坚硬、大小为8×10×5厘米的肿块从腋窝区域延伸并破坏了肩胛骨。此外,肺部可见小结节。显微镜检查显示,肿块由圆形至椭圆形细胞组成,核深染且偏心,在纤维黏液样基质中有嗜酸性细胞质。在原发肿块的血管中观察到肿瘤细胞。肿瘤细胞强烈表达波形蛋白、结蛋白和肌红蛋白。在磷钨酸苏木精染色中,在横纹肌母细胞中检测到横纹。在过碘酸希夫反应中,仅检测到少数细胞。诊断为幼犬附肢肌肉原发性横纹肌肉瘤。肿瘤可能起源于肢体的骨骼肌,侵入相邻的肩胛骨并转移至肺部。

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